Kwang-Ta Liu, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29623 Issued in CA

Practice address

1150 Scott Blvd Ste C1
Santa Clara, CA 95050-4547

Phone

(408) 554-1655

Fax

(408) 554-1659

NPI assigned

May 17, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689882425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 SCOTT BLVD STE C1",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504547",
            "telephone_number": "408-554-1655",
            "fax_number": "408-554-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 SCOTT BLVD STE C1",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504547",
            "telephone_number": "408-554-1655",
            "fax_number": "408-554-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "KWANG-TA",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "29623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ling Zhen Tang LLC
• Yongmei Ling, MD
• Annie Liou
• Barbara Ching-Man Liu
• Cindy Liu, PHARMD
• Lisa D Liu, M.D.
• Meng Liu
• Selina Liu, PSYCH D
• Simon Liu, MD
• Yi-Chen Liu, D.D.S., M.S.

• General Practice Dentistry in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.